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COMPLIANCE INFO_2020
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MCKINLEY
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2300 - Underground Storage Tank Program
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PR0232523
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COMPLIANCE INFO_2020
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Last modified
8/27/2021 10:47:29 AM
Creation date
9/28/2020 7:52:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0232523
PE
2361
FACILITY_ID
FA0003833
FACILITY_NAME
Super Store Industries - Grocery Division
STREET_NUMBER
16888
STREET_NAME
MCKINLEY
STREET_TYPE
Ave
City
Lathrop
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
16888 McKinley Ave
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 6. SENSOR TESTING RESULTS <br /> List only sensors tested on date of this certification. List "Sensor ID"as labeled in system <br /> programming. Additional copies of this page may be attached to accommodate all sensors tested. <br /> Sensor lD Sensor Model Component(s) Monitored Pass Fail <br /> L 1 208 DIESEL 1 STP ix ❑ <br /> L 2 208 DIESEL 2 STP ix ❑ <br /> L 3 303 DIESEL 1 ANNULAR x ❑ <br /> L 4 303 DIESEL 2 ANNULAR x ❑ <br /> L 5 208 WASTE OIL SUMP x ❑ <br /> L 6 208 NEW OIL SUMP N ❑ <br /> L 7 303 WASTE OIL ANNULAR N ❑ <br /> L 8 303 NEW OIL ANNULAR N ❑ <br /> SA 406 DISP 1-2 N ❑ <br /> SA 406 DISP 3-4 N ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> Describe all answers marked "No"or "Fail'and proposed remedy in Section 9. <br /> List all monitoring equipment either replaced or repaired in Section 9 <br /> Page 3 of 6 <br />
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